Provider Demographics
NPI:1730115254
Name:CORNERSTONE HEALTH SERVICES GROUP INC
Entity Type:Organization
Organization Name:CORNERSTONE HEALTH SERVICES GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MILENSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-859-2773
Mailing Address - Street 1:5520 DILLARD DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-9237
Mailing Address - Country:US
Mailing Address - Phone:919-859-2773
Mailing Address - Fax:919-859-2735
Practice Address - Street 1:5520 DILLARD DR
Practice Address - Street 2:SUITE 220
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-9237
Practice Address - Country:US
Practice Address - Phone:919-859-2773
Practice Address - Fax:919-859-2735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC070021702332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4582299Medicaid
NC4856200001Medicare NSC
NC0349001Medicare PIN